Background: Type 2 diabetes is a chronic disease that vigorously increases worldwide. The disease can affect the entire everyday life which usually results in major lifestyle change. The treatment consists largely of self care which the patient itself has great responsibility for. The nurses have an important role in supporting, guiding and teaching the patients. Since every patient is unique the nurse would benefit from an increased knowledge about the patients experiences of what promotes and prevents self care in type 2 diabetes. Aim: The aim was, from a patient perspective, describe the experience of what promotes and prevents a self care in type 2 diabetes. Methods: A literature review based on nine scientific articles gathered from the databases CINAHL plus with full text, PubMed and Medline.

Chronic obstructive pulmonary disease (COPD) is a chronic lung disease. The disease is the fourth leading cause of death and more than 5 percent of the adult population worldwide is affected.The aim of this study was to investigate the association between periodontitis and COPD.Search for material for the literature review was done in the medical database PubMed where the keywords were: "Chronic obstructive pulmonary disease" and "Periodontal health or periodontal disease". The result is based on twelve studies that were extracted and analyzed. The studies have investigated pocket depth, attachment loss, plaque index, bleeding on probing and bone loss. Ten studies compared a COPD group with a healthy control group, one study compared two COPD groups and one study examined a COPD group and a group with other lung diseases.Most studies found that people with COPD had a higher incidence of pocket depth, attachment loss, plaque index, bleeding on probing and bone loss.

Syfte: Var att beskriva vilka faktorer som påverkar sjuksköterskans tillämpning av evidensbaserad kunskap om trycksår i omvårdnaden.Metod: Litteraturstudie med deskriptiv design, utfördes utifrån två kvalitativa, sju kvantitativa samt en vetenskaplig artikel med en kombination av ansatser. Vetenskapliga artiklar publicerade mellan åren 2002 till 2012 söktes i databasen Cinahl.Resultat: Sjuksköterskans tillämpning av evidensbaserad kunskap i omvårdanden av trycksår, påverkades av attityder, kunskapsnivå samt den organisatoriska struktur som råder på arbetsplatsen. Sjuksköterskan som medverkat i special utformad utbildning eller som arbetar aktivt med kvalitetsförbättringsarbete har uppvisat en förbättrad kunskapsnivå. Vilket tillsammans med en positiv attityd medför en god förutsättning till en förbättrad följsamhet, gällande tillämpning av evidensbaserad kunskap i omvårdnaden av trycksår. Dock förekommer bristfällig, inadekvat såväl som föråldrad kunskap hos en mindre population sjuksköterskor.

This study examines implementation from national law in to local practice in the district of Kalmar to assure newly arrived immigrants orientation in civics. The study takes its starting point in Lipskys theory about street-level bureaucracy.  Questions that are discussed are about how  the education is understood by refugee?s coordinators, civic communicators and the new immigrates, how the organization has been and what role the demography and economic structures has played for the organization. It is a case study where interviews and enquete has been used.

Sahlgrenska Academyat University of GothenburgDepartment of internal medicine and clinical nutritionAbstractTitle: Can exclusive enteral nutrition replace steroid treatment in pediatric Morbus Crohn?Author: Hanna Rymark Lehnér and Josephine PetterssonSupervisor: Mette AxelsenExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 23, 2012Background: Morbus Crohn is a chronic inflammatory bowel disease which periodically causes great suffering for the patient. There is solid scientific evidence that treatment with steroids effectively induces and preserves remission. However, side effects are many and a great risk for stunted growth and skeletal development exists in children. A widespread view is that exclusive enteral nutrition is as effective as steroids in pediatric Crohn´s.

Anorexia nervosa is a psychosomatic eating disorder that involves self starvation and fear of gaining weight. Our purpose was to study the methods of treatment available and the function of them. Another part of the purpose was to find out what kind of goals the treatment has and if an anorectic person can be cured. To understand the methods of treatment we also wanted to find out what the causes to the development of the disease can be. The questions were: 1.

The aim of this study is to take note of  social worker´s views on opiate addiction and medication-assisted treatment. The definition of social workers in this paper, is people who are involved with individuals  who have an opiate addiction and have therefore been in contact with drug assisted treatment. Data was collected through interviews with social workers. The interviews were based on an interview questionnaire on four explicit themes: Motivation, Medical Assisted Treatment (LA) Other complementary treatment and expenses and its meanings. These are analyzed and discussed through the theory of harm reduction and the theory of labeling..

Bakgrund:Trycksårsproblematiken är omfattande och innebär lidande för patienter som drabbats i form fysiska, psykiska och sociala besvär. Lidandet innefattar även rädsla för smärtsamma och obehagliga behandlingar samt för de konsekvenser som dessa kan medföra i form av infektioner och amputationer eller för att såren inte ska läka. I sjuksköterskans arbete ingår att genom ett holistiskt synsätt och med evidensbaserade metoder söka förhindra och behandla trycksår. Syfte: Att belysa hur patienter med svårläkta trycksår upplever sin tillvaro ur ett livskvalitetsperspektiv. Metod: Uppsatsen har baserats på åtta studier med kvalitativ ansats och två studier med kvantitativ ansats.

Telephone counselling has been around for more than forty years and remains a widely accepted communication support, both in the primary care and the outpa-tient departments of our hospitals. In many cases, this form of communication might be the only way in which the patient will have contact with the health ser-vices, primarily the nurse. In this study, the authors have chosen the word com-munication support as a generic name for the various technology tools, which are already present or in the future, might be an important link between the patient and the nurse. The aim of this study was to examine which communication sup-port that is available and patients´ perceptions of those and the patients´ percep-tions. Our patients can sometimes be affected by their illness, which means that their perception might be influenced and the advices or the prescriptions given by telephone will not be correctly perceived.

Background: Homelessness is increasing, and health care is still difficult for many homeless people to achieve. If they get sick, it is both technically challenging to get a clinic they can go to, but also an economic problem because most of the homeless have no gainful employment. The fact that many homeless people experience bad attitudes of health care professionals is one reason why they don?t seek healthcare until an emergency arises. In the profession as a nurse, all people should be given equal treatment regardless of background.

AimThe aim of this study has been to inquire into how the Swedish Golf Federation can make their implementation organization more efficient. The intention with the essay has also been to conclude with a proposal for organization structure for the Swedish Golf Federation. The questions of issue have been: How does today?s implementation organization look like? At which level and within which areas do the interviewees consider that the major problems are found today? How do the interviewees consider that the implementation organization should look like?MethodThrough a strategic selection in cooperation with the assigner the Swedish Golf Federation 15 interviewees have been chosen. The data collection has been executed in form of semi structured interviews.ResultsToday?s organization for implementation consists of one central function in Golfens hus with approximately 75 salaried employees, 21 district federations and 485 clubs.

The aim of this study was to compare perceived disability in daily activities, anxiety and depression for patients with chronic pain (>3 month), before and after rehabilitation. Another aim was to examine if there were any correlations between disability in daily activities and the extent of anxiety and depression before and after rehabilitation.For the measurements, Disability Rating Index (DRI) that measures disability in daily activities, and Hospital Anxiety and Depression Scale (HADS) ) which measures the extent of anxiety and depression were used. The study was carried out with 50 patients who had suffered from chronic pain and with the objective to return to work after rehabilitation. Of these, 90 % were female. The measurements were carried out at three measure points; before rehabilitation, seven weeks after rehabilitation and one year after rehabilitation.The main result did not show any statistically significant improvement in ability to perform daily activities.The only significant difference that emerged was an improvement in anxiety seven weeks after rehabilitation compared with before.

Aim: The aim of this qualitative interview study was to describe the nurse's professional role and the role as a patient during different time periods. Data were collected through semi-structured interviews, where respondents had a link to the nursing profession, either as a student, now working nurse or retired nurse. Method: The data were analyzed using a content analysis. Result: The older nurses believe that nurses today has a high status and is seen as a well-read and well informed person. Most respondents believe that collaboration between nurses and doctors has improved since past.

Background: Inflammatory bowel disease (IBD) is an umbrella term for ulcerative colitis and Crohn's disease. These are characterized by a chronic inflammation of the intestinal mucosa. Living with chronic illness meant that life changed significantly. Quality of life was affected for these individuals and was stressful in their lives. Aim: The aim was to describe the experiences of living with inflammatory bowel disease. Method: A qualitative literature review was chosen to analyze articles that were related to the aim of this study. Results: Based on the chosen articles five themes were created; Commuting between hope and fear, symptoms of the disease and medication become everyday focus, struggling with  the new identity, desire to control the disease- do I control my illness or does it control me and social relationships are affected. Conclusion: Inflammatory bowel disease is a distressing disease and can cause limitations in social life due to lack of knowledge by others about the disease. The affected felt a loss of control in their life due to the difficulty in managing the symptoms.

An analysis of a specific application of anaerobic wastewater treatment at a pulp and board mill, Stora Enso Skoghall, was carried out. A literature study was done and effluent wastewater from CTMP pulp production was analyzed. The analysis consisted of a broad constituent analysis and an anaerobic treatment trial. Results from these test where used to calculate the treatment effectiveness and resulting energy potential at the mill.The literature study and constituent analysis showed that toxicity of the water to be treated, due to wood extractives and sulphur content, was of concern. Detoxification chemicals targeting these constituents where used in the anaerobic treatment trial.